Community hospitals and co-production

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Summary of report content

Healthwatch Cumbria created a report looking at how effective the co-production had been in its area, specifically looking at the three local community hospitals - Alston, Maryport and Wigton. The aims of the project were to examine the experiences of representatives of the 'Alliances' of the co-production process, with a view to making recommendations as to how this can be strengthened, and to identify any specific issues about aspects of future service delivery that participants perceive to remain unaddressed. They conducted focus groups in each of the local community hospital areas and ran an online survey. Overall findings suggest the co-production process in relation to the community hospitals is relatively well advanced in comparison with that surrounding many of the changes to health and care services underway elsewhere in the county. However, some aspects of co-production in Alston, Maryport and Wigton are less advanced and an effort must be made to resolve these to produce a more detailed template so that community engagement can start on a stronger footing elsewhere. The report contains eight recommendations, including: - Specific issues revealed in the survey data that community groups perceive to remain unaddressed must be the subject of further discussion in the near future. - Health and care organisations need to be actively involved in the co-production training that HWC is developing with Cumbria Learning and Improvement Collaborative (CLIC) so that the learning from their perspective can be incorporated in that project. - Early, transparent and comprehensive information for each change being co-produced is essential prior to any co-production project. This should include information about cost, quality, recruitment. The report does not contain a response from the service providers.

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General details

Report title 
Community hospitals and co-production
Local Healthwatch 
Healthwatch Cumbria
Date of publication 
Friday, 2 February, 2018
Type of report 
Key themes 
Devolution of services
Health inequalities
Integration of services
Public involvement
Service closure
Service delivery organisation and staffing
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Focus group
How was the information collected? 

Details of health and care services included in the report

Secondary care services 
Inpatient care

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Types of health and care professionals engaged 
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.